Individual
MARISSA JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
85 ADAMS ST, ROCHESTER, NY 14608-2210
(585) 454-3525
Mailing address
189 MILBURN ST APT 15, ROCHESTER, NY 14607-3359
(631) 317-0261
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
111513
NY
1041S0200X
School Social Worker
Primary
111513
NY
Other
Enumeration date
10/20/2023
Last updated
10/20/2023
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